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Spontaneous regression of choroidal metastasis from renal cell carcinoma
Amjad M Hammad1, Gianmarco R Paris, Wichard A J van Heuven
1Department of Ophthalmology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas 78229, USA.
Purpose:
To describe a patient with choroidal metastasis from renal cell carcinoma that spontaneously regressed after nephrectomy.
Design:
Interventional case report.
Method:
A 48-year-old Hispanic woman presented with reduced vision in the left eye attributable to an elevated choroidal lesion and associated exudative retinal detachment. Oncology workup revealed a left kidney renal cell carcinoma with pulmonary metastases. The patient underwent primary nephrectomy, without specific treatment of choroidal or pulmonary metastases.
Results:
The metastatic choroidal lesion regressed and the retinal detachment completely resolved, as evidenced by fundus photographs and ultrasonography.
Conclusions:
Choroidal metastasis from renal cell carcinoma may spontaneously regress after removal of the primary tumor.